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CTRI Number  CTRI/2025/02/080453 [Registered on: 13/02/2025] Trial Registered Prospectively
Last Modified On: 02/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Plantar Fascia Release by Self-Myofascial Release versus Instrument-Assisted Soft Tissue Mobilization on Hamstring Tightness, Back Flexibility, and Neck Flexibility in High Heel Wearers. 
Scientific Title of Study   Effect of Plantar Fascia Release by Self-Myofascial Release versus Instrument-Assisted Soft Tissue Mobilization on Hamstring Tightness, Lumbar Flexibility, and Cervical Flexibility in High Heel Wearers 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Savita Behal 
Designation  Masters of Physiotherapy Student  
Affiliation  Guru Nanak Dev University  
Address  Department Of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab,India.

Amritsar
PUNJAB
143001
India 
Phone  7009217959  
Fax    
Email  saavib76@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Maman Paul 
Designation  Assistant Professor  
Affiliation  Guru Nanak Dev University, Amritsar , Punjab, India ,Affiliated under UGC, PCI,BCI,COA,NCTE. 
Address  Department Of Physiotherapy, Guru Nanak Dev University, Amritsar-143005, Punjab, India.
Department Of Physiotherapy, Guru Nanak Dev University, Amritsar-143005, Punjab, India.
Amritsar
PUNJAB
143005
India 
Phone  9815459353  
Fax    
Email  mamanpaul@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Savita Behal 
Designation  Masters of Physiotherapy Student  
Affiliation  Guru Nanak Dev University  
Address  Department Of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab,India.

Amritsar
PUNJAB
143001
India 
Phone  7009217959  
Fax    
Email  saavib76@gmail.com  
 
Source of Monetary or Material Support  
Guru Nanak Dev University, Amritsar-143005, Punjab,India. 
 
Primary Sponsor  
Name  Savita Behal  
Address  Department Of Physiotherapy, Guru Nanak Dev University, Amritsar-143005, Punjab, India. 
Type of Sponsor  Other [Physiotherapy ] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Maman Paul   AssistantProfessor, Department Of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab, India. 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Maman Paul  Guru Nanak Dev University  Department of Physiotherapy, Guru Nanak Dev University, Amritsar-143005, Punjab, India.
Amritsar
PUNJAB 
9815459353

mamanpaul@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
InstitutionalEthics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  High Heel Wearers  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Self-Myofascial Release (SMR), Instrument-Assisted Soft Tissue Mobilization (IASTM).  No control group; a direct comparison is made between SMR and IASTM. 
Intervention  Self-Myofascial Release (SMR), Instrument-Assisted Soft Tissue Mobilization (IASTM).  Self-Myofascial Release (SMR): A self-administered technique that involves applying sustained pressure using a tool (e.g., a tennis ball) to release muscle tightness and improve fascial mobility. Instrument-Assisted Soft Tissue Mobilization (IASTM): A manual therapy technique using specially designed tools to apply controlled microtrauma to soft tissues. This stimulates a localized inflammatory response, promoting tissue remodeling, breaking down adhesions, and improving fascial mobility.Duration of Intervention will be 6 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  27.00 Year(s)
Gender  Female 
Details  Regular high heel wearers, defined as those who wear high heels for at least 5 hours per day, 3 times per week, for a minimum duration of 6 months, will be included. The heels must have a minimum height of 5 cm. Participants should be able to wear heels without experiencing heel or foot pain. Additionally, a BMI range of 18.5 to 24.9 will be considered to minimize the risk of musculoskeletal issues. Only participants with bilateral plantar fascia tightness will be included.







 
 
ExclusionCriteria 
Details  1.History of lower limb injuries or surgeries.
2.Diagnosed neuromuscular or skeletal conditions (e.g., scoliosis, disc herniation)
3.Known allergies or sensitivity to IASTM tools.
4.Positive Windlass Test (indicative of plantar fasciitis)
5.Morning heel pain upon standing.
6.Heel pain after prolonged sitting, resolving after 30-45 minutes of activity.
7.Significant foot arch deformities (flat feet or high arches)
8.History of foot trauma (e.g., calcaneal fractures, soft tissue injuries)
9.Psychological disorders.

 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1.Hamstring Tightness
2.Lumbar Flexibility
3.Cervical Flexibility 
Outcome Variable will be assessed baseline and after 6 weeks for both intervention groups. 
 
Secondary Outcome  
Outcome  TimePoints 
N/A  N/A 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="12" 
Recruitment Status of Trial (Global)   Completed 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The study titled "Effect of Plantar Fascia Release by Self-Myofascial Release versus Instrument-Assisted Soft Tissue Mobilization on Hamstring Tightness, Lumbar Flexibility, and Cervical Flexibility in High Heel Wearers" focuses on participants aged 18–27 years who regularly wear high heels. This experimental study will recruit 60 participants, divided into two groups: Group A (Self-Myofascial Release and Static Stretching) and Group B (Instrument-Assisted Soft Tissue Mobilization and Static Stretching).The interventions will be administered three times a week over six weeks, targeting parameters such as cervical flexibility (assessed using the craniovertebral angle), lumbar flexibility (evaluated with the modified schober test and toe touch), and hamstring tightness (measured via the popliteal angle). Outcomes will be assessed pre- and post-intervention using standardized tools like Kinovea software for angle measurements and validated questionnaires to evaluate participants.This study aims to explore the biomechanical impact of high heels on the musculoskeletal system and to compare the efficacy of two therapeutic techniques in addressing musculoskeletal issues commonly associated with high heel use.

 
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